Add Medication History

Add current medications to a patient's Health Summary that your patient is taking but which were prescribed elsewhere, such as in hospital or at another service.

Before you begin

You cannot record a medication with a date before a patient's birth or after a patient's date of death.

The medication history of a patient is not shared with My Health Record or MeHR.

About this task

Note:
You cannot print or issue repeats for medications recorded as medication history. These medications must first be prescribed.

Procedure

To add medication history for a patient:
  1. In the patient's Health Summary iconHealth Summary, click + Medication.
  2. In the Medication History iconMedication panel on the right, in the Search iconSearch field, enter at least the first two characters of the medication.
    Tip:
    Alternatively, select a medication from your favourites list, or go to the Recipes tab an extemporaneous preparation recipe, click + Recipe. For more information about creating drug recipes, see Create Medication Recipes.
  3. Select the medication from the list.
    Example Medication History
  4. Complete as much information as possible, including at least:
    • In the Directions field, include the patient's directions.
    • In the Advised or prescribed externally by field, enter where the information about the medication is coming from. For example, the patient or a discharge summary.
  5. Click Save.

Results

The medication is immediately listed in the patient's Health Summary iconHealth Summary without a Last Script date.
Example medication history in the Health Summary
If you need to edit a medication history item:
  • In the Health Summary iconHealth Summary, click the vertical ellipsis and select Edit.
  • In the Health Summary iconHealth Summary, select the medication history medication to display its details in the Medication History iconMedication panel and click Edit.
If you need to cease a medication history item:
  • In the Health Summary iconHealth Summary, click the vertical ellipsis and select Cease.
  • In the Health Summary iconHealth Summary, select the medication history medication to display its details in the Medication History iconMedication panel and click Cease.

What to do next

If you want the patient to continue taking this medication, prescribe it. You can prescribe the medication by either:
  • In the Health Summary iconHealth Summary, hover your mouse over Rx icon in Health Summary and click Quick Prescribe.
  • In the Health Summary iconHealth Summary, select the medication history medication to display its details in the Medication History iconMedication panel and click Prescribe.
For more information about prescribing, see Write Prescriptions.